19986_FARLEY, THOMAS A_19980806

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CAMA AND DREDGE AND FILL
GENERAL r
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name !�'� �% r: f' e7 �¢�r' Phone Number
Address ;15 , 64Y
City 4, State Zip
Project Location (County, State Road, Water Body, etc.)
r
Type of Project Activity
k !
PROJECT DESCRIPTION SKETCH (SCALE:,;, )
Pier (dock) length
Al
Groin length
j�l
number
Bulkhead length I"iopo=.tc� 11 !� as �Jeet ) 4C
max. distance offshore
o- :7
Basin, channel dimensions84
cubic yards
tY yl,• � � 1
Boat ramp dimensions h ry (T M }�
_
Other
1. ;yr'L;t1rt
7� y► y, ,
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
applicant's signature
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance. _
The applicant certifies by signing this permit that 1) this pro' t ��
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments _
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
issuing date
.Op. /2zv
expiration date

BROAD CREEK e6-30/5 1 3786
CONSTRUCTION INC
PH. 919-249-0523 ?l— & _ 9
11 CREEKVIEW COURT Date
MERRITT, NC 28556
® Pay to the I
Ord�t`p f D $
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FYRBT CITIZENS 171
pD A K First -Citizens Bank & Trust Company
j�"u �l� Bayboro,N.C. 28515 t�
For Fi �` D�q6—CY` tir
':0531003001:47ll022 74ii'03786

ADJACENT RIEPARIAN PROPERTY O
(FOR A PIERIUN'COVEREO BOAT NIER ST'AT'��1✓�T
�'1)
I hereby certify that I own property adjacent to
r�,1:'s
(Dame of Prapet-ty Owner
Property located at SS; ,(�;,� �' � t✓ � �Z�' e �,��
t, alb, Road, etc,)
on �Ii'I �%�,�� �%
in 0,�- I Z,/
(WaterbodY) Lo
7L, 1�4, '.(T•o�n and/or County) « � N.C.
He has described to me, as shown below, the development he isproposing
location, and, I have no objections to his at that
must be: set back a minimum distance of fifteLn {eel (1.5) from m that a picc/uncovered boat Lift
waived by me. y area of riparian access unless
__-- ._ Y d ❑o wish to waive the setback rNuiretrient
wish to waive that setback :quiremew. -
xE.SCRIPTION AND/OR DRAW7NG OF M-OP iSED DE
(To be filled in by irad �dsl� DEVELOPMENT:
pF�p� •-
- wr
Pi iu75
8�
L
Si
GC
SG� �t(C v
'hnt or Name
Z°�-'3S5 �Y3
'i'elephone Num�ier
Date: — \--`�! g

11-22-1996 4:229M FROM
P_ 1
='MJACEN7 RIPAMAN laZOPMCf y OWNER STAUT
(FOR A PIERIUNCOVERE1' B GA T LU7)
I hereby certify that I own property adjac=t.to�
(Name of propel-ty owrzer)
Property located at
t, BIB, Road, etc,)
on e
(Wale b o dyj (�� , s��� N.C.
an�Q� szuxlfor CQuntyj
�e has d�crzb� to me, as shown below, the development he is proposing at that
must
location, d, I have no objections to his przrposa.I. I undes�#�na that a piasluncovez� Izft
wd
viaivci by -me. boas bc,set back a minimum distance of fift�n feet (15') fraIR my area of ripaii,-m access unless
T n wish to waive the setback r;,quiremc!w.
.dQ wish to waive that setbwk :t:quiremen�.
TIESCRU"NON ANDlOR D1ZA'WIk' Off° P1*.3-SZD DE
(I he filled uz b individual r VF ,(�1'MEI+��': :.. .
j
5✓JA,C
Signature
!.'riot or Type Name
07-29-96
'x'�ieph0ne �Ium r
Daue:
10.01 RECEIVED FROM: P•01

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